| NPI | 1235095704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUSTIN JOHNSON CEO 561-816-9023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-12-29 |
| Last Update Date | 2025-12-29 |